Organization
AARON SCHAMBACK, DMD, PA
Active
Other names
Great Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON SCHAMBACK D (DENTIST/OWNER)
(772) 398-0990
Entity
Organization
Contact information
Practice address
155 SW PORT SAINT LUCIE BLVD, SUITE #101, PORT SAINT LUCIE, FL 34984
(772) 398-0990
(772) 398-0939
Mailing address
155 SW PORT SAINT LUCIE BLVD, SUITE #101, PORT SAINT LUCIE, FL 34984
(772) 398-0990
(772) 398-0939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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